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Individual

ALEXANDER MARCEL LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
11850 BLACKFOOT ST NW STE 490, COON RAPIDS, MN 55433-2773
(763) 427-1137
Mailing address
11850 BLACKFOOT ST NW STE 490, COON RAPIDS, MN 55433-2773
(612) 871-7278
(612) 863-8531

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
13862
MN
363AS0400X
Surgical Physician Assistant
Primary
13862
MN

Other

Enumeration date
10/02/2021
Last updated
11/10/2024
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